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The purpose of this article is to reintroduce and describe the processes and phases of heuristic inquiry and to illustrate how the method can advance nursing science. Heuristic inquiry is a rigorous, systematic, phenomenologically orientated research method developed by Clark Moustakas for investigating, discovering, and understanding the nature and meaning of living experiences. Heuristic inquiry invites the inclusion of the researcher's autobiographical living of experience being investigated honoring the personal experiences of the phenomenon from self and each participant in the research study. The author proposes that heuristic inquiry be used in nursing science by including a theoretical interpretive process connecting the thematic essences of the nursing conceptual framework guiding the study. Nursing theory-guided heuristic research advances the study of caring for persons experiencing human-environmental-health transitions to enhance human betterment and wellbecoming. [ABSTRACT FROM AUTHOR]

This article is an introduction to the review of Evolving Rogerian Nursing Science: John R. Phillips' Unique Contributions, published by the Society of Rogerian Scholars in 2023. This reviewed book compiles John R. Phillips' publications spanning 1990 to 2023, cherishing his dedication and commitment to the science of unitary human beings. It also portrays ever-evolving changes in nursing as a never-ending mutual process in the pandimensional universe, reflecting the beauty of Martha E. Rogers' vision as illustrated by Dr. Phillips. [ABSTRACT FROM AUTHOR]

Can contemporary cognitive science explain clinical expertise? We argue that the answer could be no. In support of this, we provide an analysis of two of the most essential expressions of clinical expertise in nursing and medicine, the ability to run a code blue and the ability to diagnose congestive heart failure. We show how it makes sense to treat both as examples of what we call inference to the best action, and we then argue that two of the standard explanatory paradigms of cognitive science - the Humean and Bayesian paradigms - are unable to provide a plausible analysis of inference to the best action.

Concept analyses are an essential practice in building the body of nursing science. A discussion regarding nursing as a discipline, profession, or vocation is provided. The contributions of concept analyses to nursing science and various methods of performing concept analyses are presented. The Walker and Avant's and Rodgers and Knafl's methods of concept analysis are discussed. A brief concept analysis of "spirituality" using the Walker and Avant's method is provided to guide the reader through the basic steps. Performing concept analyses using established, well-respected methods such as those presented in this article lends credibility to the end-product. Concept analyses should not be disregarded but instead should be undertaken with great care, using established methods of concept analysis and be purposeful in their design in order to make meaningful contributions to the nursing literature. [ABSTRACT FROM AUTHOR]

Nursing science is at serious risk of extinction. The lack of funding for research, absence of healthcare policies underpinned by nursing science, and general lack of understanding of nursing metaparadigms all contribute to the stunted growth in nursing science. Doctoral research is a platform for the development and refinement of nursing science. The purpose of this qualitative retrospective document review was to describe the doctoral contribution to nursing in sub-Saharan Africa (SSA). Electronic dissertations for doctoral degrees in nursing within a 5-year period from universities in SSA were included. The extracted data comprising the purpose of the studies, the models used in the studies, and the studies' contributions to nursing science were analyzed against a knowledge contribution framework. In total, 166 documents were included, mostly from South African universities, with a predominant focus on developing models, frameworks, and strategies within nursing practice. Only 17% of the studies applied grand nursing theories or models, with the rest of the studies applying theories from other disciplines. The contribution to nursing science from the doctoral studies was poor. The low uptake of nursing models in doctoral research in SSA may significantly contribute to the lack of refinement of nursing science within SSA. Structured approaches focused on integrating the nursing metaparadigms, theories, and models and fundamental underpins for doctoral education in Africa are essential to influencing the refinement of nursing science. [ABSTRACT FROM AUTHOR]

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Copyright of Notfall & Rettungsmedizin is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

In response to a University of California systemwide initiative to expand the knowledge base of climate change, two half-day workshops were held for faculty in the College of Health Sciences at the UC Irvine. In the first workshop, 20 participants who teach in the Schools of Nursing, Medicine, Pharmacy, and Pharmaceutical Science, or the Program in Public Health convened to explore concepts of sustainability, theoretical models of curriculum integration, challenges to adding new competencies into professional training, and strategies for integrating climate change modules and case studies into the curricula. The second half-day workshop was held a year after the first workshop to review how faculty members have modified their syllabus to integrate climate change information with varying degrees of success. A case study is presented regarding an asynchronous fully online course Introduction to Global Health, which is open to enrollment by students from all campuses of the University of California. The outcomes revealed preferential adoption of models of curriculum integration which minimized disruption of the sequence of topics in pre-existing courses. These include, for example, the use of longitudinal climate datasets for quantitative analysis of disease outcomes, and description of episodic events involving extreme weather conditions to explore differences in social determinants of vulnerability to climate change impacts in different populations. Integration of climate change as a distinct topic seems easier in elective courses in comparison with required courses designed to cover pre-established professional knowledge, competencies, and skills. The emergent requirement for interprofessional training in the health sciences provides an opportunity for the development of a cross-cutting competency domain including climate change as a unifying theme in a stand-alone course or set of courses in a sequenced model of curriculum integration.

Can contemporary cognitive science explain clinical expertise? We argue that the answer could be “no.” In support of this, we provide an analysis of two of the most essential expressions of clinical expertise in nursing and medicine, the ability to run a code blue and the ability to diagnose congestive heart failure. We show how it makes sense to treat both as examples of what we call inference to the best action, and we then argue that two of the standard explanatory paradigms of cognitive science — the Humean and Bayesian paradigms — are unable to provide a plausible analysis of inference to the best action.

Nursing scholars continuously refine nursing knowledge and the philosophical foundations of nursing practice. They advance nursing knowledge by creating new knowledge and weighing the relevance of developments in cognate sciences. Nurse philosophers go further by providing epistemological and ontological arguments for explanations of nursing phenomena. In this article, I engage with Bender's arguments about why mechanisms should have more primacy as carriers of nursing knowledge. Despite the careful scholarship involved, Bender's arguments need to be more convincing. Accordingly, this article encourages debate about Bender's arguments for reorientating nursing science to mechanisms. I begin by suggesting that the claim that the theory‐practice divide can be overcome by reorientating to mechanisms is acceptable only if we accept Bender's depiction of the challenge. Then I question the ontology Bender relies on to justify reorientating nursing science. After that, I argue that mechanisms in models that parallel analytical sociology undermine the kind of nursing science Bender advocates. I illustrate my arguments with a social mechanism thought experiment. Then I explain why Bender's arguments cannot escape the received view of science or inform emancipatory nursing action without theory. Finally, I mention some caveats and implications for nursing science. [ABSTRACT FROM AUTHOR]

Nurse clinician‐scientists are increasingly expected to show leadership aimed at transforming healthcare. However, research on nurse clinician‐scientists' leadership (integrating researcher and practitioner roles) is scarce and hardly embedded in sociohistorical contexts. This study introduces leadership moments, that is, concrete events in practices that are perceived as acts of empowerment, in order to understand leadership in the daily work of newly appointed nurse clinician‐scientists. Following the learning history method we gathered data using multiple (qualitative) methods to get close to their daily practices. A document analysis provided us with insight into the history of nursing science to illustrate how leadership moments in the everyday work of nurse clinician‐scientists in the "here and now" can be related to the particular histories from which they emerged. A qualitative analysis led to three acts of empowerment: (1) becoming visible, (2) building networks, and (3) getting wired in. These acts are illustrated with three series of events in which nurse clinician‐scientists' leadership becomes visible. This study contributes to a more socially embedded understanding of nursing leadership, enables us to get a grip on crucial leadership moments, and provides academic and practical starting points for strengthening nurse clinician‐scientists' leadership practices. Transformations in healthcare call for transformed notions of leadership. [ABSTRACT FROM AUTHOR]

Before Magnet designation, nurse scientists functioned primarily in academia. The Magnet model's emphasis on new knowledge required that health care organizations demonstrate knowledge generation to achieve and sustain designation. The nurse scientist role definition and function within health care organizations continues to evolve, which contributes to a lack of clarity about who and how nurses generate new knowledge. The purpose of this scoping review was to (1) identify nurse scientist role components in the context of 2 theoretical models (Thompson's Knowledge Brokering Model and Edward's Research Appreciation, Accessibility, and Application Model), (2) explore the strengths and barriers associated with existing nurse scientist practice models in US health care organizations, and (3) describe a unique, expanded practice model applied within Stanford Health Care's Office of Research and its implications for building new knowledge and innovation capacity with recommendations for ongoing role development. [ABSTRACT FROM AUTHOR]

Research and development of artificial intelligence (AI)-based technologies systems in healthcare has increased over the past decade, highlighting the strong potential of AI to improve the quality of nursing care. To meet the new demands for nursing care, it is necessary that AI be integrated into nursing science and healthcare setting, especially in nursing care. The current challenge is to transform this expanded set of technology into clinical benefits for patients, through more advanced, accurate, practical, effective, efficient, and economical and personalized care. Along with the potential positive outcomes, AI technology also has unintended consequences that have the potential to negatively impact and adversely affect the nursing profession and the primary purpose of nursing practice in healthcare system. This aimed to explore and discuss the impact of applying AI in nursing science and healthcare system to provide approximate nursing care. Some of the impacts that can be evaluated and seen today in the context of using AI technology systems in the scope of nursing and healthcare are expanding access to quality medical care, improving medical records, and improving the quality of services. The use of AI technology systems also has some issues, such as bias and algorithms, which are drawbacks that need to be considered when evaluating the accuracy of the displayed results. [ABSTRACT FROM AUTHOR]

There is no settled definition of nursing science that describes how this field of scientific research is unique. This paper attempts to correct this problem. It uses a combination of historical analysis and abductive argument to support the thesis that nursing science is a sui generis social science that studies how to reconcile clinical ideals or norms that are applicable to practice in nursing with the messiness of human behavior. [ABSTRACT FROM AUTHOR]

Abstract Background Nurses spend part of their working time on non-nursing tasks. Unnecessary walking distances and the assumption of service activities and other non-care-related tasks take up a lot of space, which reduces the time for direct patient care and demonstrably increases the dissatisfaction of the persons involved. The REsPonSe project aims to relieve nursing staff by using a smartphone app for communication in combination with an autonomous service robot to reduce walking distances and service activities. The technical systems are tested on a nuclear medicine ward and are intended to reduce the radiation exposure of the staff. The aim of this study is to test and evaluate the use and intervention of the technical systems, the acceptance of the users and the change in the utilisation of the nursing service. In addition to findings on usability and manageability, effects on nursing practice, as well as facilitating and inhibiting contextual factors for implementation, will be identified. Methods The Medical Research Council (MRC) Framework for Developing and Evaluating for Complex Interventions was chosen as the theoretical basis. The data collection in the Feasibility and Evaluation phase is a triangulation of quantitative and qualitative methods. Standardised observations are planned to collect data on non-care activities and walking distances, and a survey of utilisation by use of a questionnaire based on the NASA TLX. Qualitative individual interviews with patients and group discussions with nursing staff will be conducted. Statements on the subjective experiences, as well as the evaluation of the use of the digital-robotic system in the clinical setting, will be collected. The descriptive evaluation of the usage and retrieval data will provide information on duration, time, requests, and reduced contact times, as well as error and fault messages. Discussion The evaluation study will make it possible to represent a variety of perspectives from different interest groups. The results should contribute to the definition of implementation and evaluation criteria and facilitate the integration of digital-robotic assistance systems in nursing acute inpatient settings. Trial registration The trial was registered with the German Clinical Trials Register (DRKS) on 16.02.2022: DRKS00028127.

Background: The use of assistive robotic systems in care is intended to relieve nursing staff. Differentiated and literature-based findings on current application possibilities, technological developments and empirical findings are necessary to enable a goal-oriented and participatory development of assistive robotic systems of care. The aim of this review was to identify assistive robotic systems and their areas of application in nursing settings. Furthermore, an overview of existing social and nursing science findings from the research field of assistive robotic systems will be described. Methods: A systematic literature search was performed based on the JBI scoping review methodology. During the period from May to August 2020, the databases MEDLINE via PubMed, CINAHL, Cochrane Library, Web of Science, and IEEE Xplore Digital Library were searched. In order to reflect current developments and evidence in the present literature work, a supplementary search with these same requirements was conducted in January 2022. Results: The 47 included publications are divided into 15 studies, 23 technical articles and nine opinion-based articles (text-opinion). A total of 39 different assistive robotic systems were identified. There were 55% in the testing phase and 29% of the systems in the development phase. Assistive robotic systems can be divided into six fields of application: Information and patient data processing, assistance with activities of daily living, fetch and bring activities, telepresence and communication, monitoring, safety and navigation, and complex assistance systems. The description of the study findings is divided into "integration of technology and impact on practice" and "attitude and acceptance of elderly people towards assistive robotic systems". Conclusion: The results of the research show that the use of assistive robotic systems in care mainly take place in the context of development and testing phases. In addition to usability and acceptance issues, implementation factors must be integrated into theory-driven research projects. [ABSTRACT FROM AUTHOR]

The article focuses on the significance of nursing entrepreneurship in addressing contemporary healthcare challenges. It emphasizes the potential for nurse entrepreneurs to contribute to healthcare innovation, quality improvement, and patient-centered care. It highlights the importance of research, nursing education, and women's empowerment to advance the field of nursing entrepreneurship and its positive impact on healthcare systems and patient outcomes.

Aim: The aim of this study was to understand the lived experience of altruism and sacrifices among Swedish nurses working in intensive care units (ICU) during the COVID‐19 pandemic. Design: This was a descriptive phenomenological study. Methods: The study was conducted between June 2020 and March 2021 and included 20 nurses who were directly involved in the ICU care of COVID‐19 patients in Sweden during the pandemic. The text transcripts were analysed using Malterud's Systematic Text Condensation. Findings The analysis revealed four themes. The work situation changed from 1 day to another—the nurses were brutally confronted with a new and highly demanding situation. Adapting to the chaotic situation—despite fear, anguish and exhaustion, the nurses adapted to the new premises. They shouldered the moral responsibility and responded to the needs of the patients and the health care system since they had the competence. Being confronted with ethical and moral challenges—the nurses were overwhelmed by feelings of helplessness and inadequacy because despite how hard they worked, they were still unable to provide care with dignity and of acceptable quality. The importance of supporting each other—collegiality was fundamental to the nurses' ability to cope with the situation. Conclusions: Taken together, being exposed to a constantly changing situation, facing the anguish and misery of patients, families, and colleagues, and being confronted with a conflict between the moral obligation to provide care of high quality and the possibility to fulfil this commitment resulted in suffering among the nurses. Collegial back‐up and a supportive culture within the caring team were important for the nurses' endurance. Impact The study contributes an understanding of nurses' lived experience of working during the COVID‐19 pandemic and highlights the importance of protecting and preparing nurses and nursing organisation for potential future crises. [ABSTRACT FROM AUTHOR]

In this article, I discuss a provocative recommendation by the American Association of Colleges of Nursing for research doctorate education as it relates to nursing education and the broader question whether nursing scientists should be nurse scientists. I use tools from the tradition of analytic philosophy to examine issues and language underlying this discussion about nursing science, knowledge, and practice. I draw some conclusions based on my review of the association's documents and from philosophical perspectives on nursing science and practice. [ABSTRACT FROM AUTHOR]

Background: Ongoing discussions address how and when to introduce nursing concepts in nursing education. Purpose: To examine whether baccalaureate nursing programs use 4 nursing concepts in their program and course descriptions. Methods: Researchers explored websites of 300 US bachelor of science in nursing (BSN) programs and assigned scores based on how many of 4 nursing concepts (context, holism, health, and caring) were represented in program and 3 course descriptions. Results: Mean program and course scores were 2.51, 0.96, 1.17, and 1.18, respectively. Programs and courses included between 0 and 4 concepts in their descriptions. There was a significant difference in program scores between BSN programs in 4 US regions. The most frequently identified concept was "context" in program descriptions and "holism" in course descriptions. Conclusions: Discipline-specific concepts are missing in many baccalaureate programs and course descriptions, which raises questions about how and when nursing students are learning what nursing is. [ABSTRACT FROM AUTHOR]

Background: Nurses spend part of their working time on non-nursing tasks. Unnecessary walking distances and the assumption of service activities and other non-care-related tasks take up a lot of space, which reduces the time for direct patient care and demonstrably increases the dissatisfaction of the persons involved. The REsPonSe project aims to relieve nursing staff by using a smartphone app for communication in combination with an autonomous service robot to reduce walking distances and service activities. The technical systems are tested on a nuclear medicine ward and are intended to reduce the radiation exposure of the staff. The aim of this study is to test and evaluate the use and intervention of the technical systems, the acceptance of the users and the change in the utilisation of the nursing service. In addition to findings on usability and manageability, effects on nursing practice, as well as facilitating and inhibiting contextual factors for implementation, will be identified. Methods: The Medical Research Council (MRC) Framework for Developing and Evaluating for Complex Interventions was chosen as the theoretical basis. The data collection in the Feasibility and Evaluation phase is a triangulation of quantitative and qualitative methods. Standardised observations are planned to collect data on non-care activities and walking distances, and a survey of utilisation by use of a questionnaire based on the NASA TLX. Qualitative individual interviews with patients and group discussions with nursing staff will be conducted. Statements on the subjective experiences, as well as the evaluation of the use of the digital-robotic system in the clinical setting, will be collected. The descriptive evaluation of the usage and retrieval data will provide information on duration, time, requests, and reduced contact times, as well as error and fault messages. Discussion: The evaluation study will make it possible to represent a variety of perspectives from different interest groups. The results should contribute to the definition of implementation and evaluation criteria and facilitate the integration of digital-robotic assistance systems in nursing acute inpatient settings. Trial registration: The trial was registered with the German Clinical Trials Register (DRKS) on 16.02.2022: DRKS00028127. [ABSTRACT FROM AUTHOR]

The nursing research is most direct factor which stimulates improvement of nursing science and quality of clinical nursing. Given the continuous development of social-economy and scientific technology, nurses should pay more attention on awareness and capacity of scientific research. This paper briefly analyzed the present situation, potential problems and influencing factors of nursing research capacity among clinical nurses in China. Strategies for improving the nursing research capacity were discussed, in order to comprehensively promote the development of discipline of nursing in China. (护理科研是推动护理科学发展最直接的动力, 也是提高临床护理质量的重要手段。随着社会经济的不断发展, 科技水平也在不断提高, 这就要求护理人员不断提高科研意识和科研能力。本文简要分析我国护理科研发展现状, 探讨临床护理科研中存在的问题以及影响临床护士科研能力的因素, 提出改进策略, 旨在更好地促进我国护理科学的全面发展。)

This paper summarized the strategy for applying utility model patents in clinical nursing. Issues about meaning of patent, application procedure and design inspiration were discussed and shared, in order to provide reference in design and application of utility model patents for clinical nurses. (本文总结临床护理用具实用新型专利申请过程中的相关经验, 包括专利的含义、专利申请流程、专利设计灵感等, 希望以此为广大临床护理工作者在研发和申请专利方面提供可靠参考。)

The year 2022 is Nursing Science Quarterly's 35th year in publication, and we are dialoging with nurse theorists. We hope to uncover influences and origins of their theoretical thinking and hear about their current projects related to nursing science. In this scholarly dialogue column, we dialogue with Dr. Jessica Hemberg, a former nursing student of nurse theorist Dr. Katie Eriksson who was internationally known for her theory of caritative caring. In 1986, Professor Eriksson was invited to create a caring science academic program at Åbo Akademi University in Vaasa, Finland, which drew graduate students from all Nordic countries. Eriksson's work highlighted the uniqueness and dignity of the human being and the importance of protecting the vulnerable suffering human being. Dr. Eriksson passed away in 2019, and we are grateful to spend some time with one of her PhD students. [ABSTRACT FROM AUTHOR]

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Background: Few quantitative studies have documented the types of research topics most commonly employed by nursing PhD students and whether they differ by program delivery (in-person vs. online/hybrid programs). Objectives: We examined a large set of publicly available PhD dissertation abstracts to (a) describe the relative prevalence of different research topics and methods and (b) test whether the primary topics and methods used differed between online or hybrid and in-person PhD programs. A secondary goal was to introduce the reader to modern text-mining approaches to generate insights from a document corpus. Methods: Our database consisted of 2,027 dissertation abstracts published between 2015 and 2019. We used a structural topic modeling text-mining approach to explore PhD students' research topics and methods in United States-based doctoral nursing programs. Results: We identified 24 different research topics representing a wide range of research activities. Most of the research topics identified did not differ in prevalence between online/hybrid and in-person programs. However, online/hybrid programs were more likely to engage students in research focused on nursing education, professional development, work environment, simulation, and qualitative analysis. Pediatrics, sleep science, older adults and aging, and chronic disease management were more prevalent topics in in-person-only programs. Discussion: The range of topics identified highlights the breadth of research nursing PhD students' conduct. Both in-person and online/hybrid programs offer a range of research opportunities, although we did observe some differences in topic prevalence. These differences could be due to the nature of some types of research (e.g., research that requires an in-person presence) or differences in research intensity between programs (e.g., amount of grant funding or proximity to a medical center). Future research should explore why research topic prevalence may vary by program delivery. We hope that this text-mining application serves as an illustrative example for researchers considering how to draw inferences from large sets of text documents. We are particularly interested in seeing future work that might combine traditional qualitative approaches and large-scale text mining to leverage the advantages of each. [ABSTRACT FROM AUTHOR]

Copyright of Medizinische Klinik: Intensivmedizin & Notfallmedizin is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

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With the continuous progress, innovation and development of infrastructure technologies such as Internet and enterprise mobile informatization in the industrial mobile era, the development of modern information economy and society has been accelerating, entering a new era of information flow and wide application of Big Data. This paper introduced the current status of application of Big Data in medical and nursing settings, and summarized concepts of Big Data, application of Big Data in clinical nursing and nursing research. Medical and nursing workers should enhance their awareness on Big Data and promote the healthy development of clinical nursing and related disciplines. (随着现代技术的发展, 医疗领域的信息化发展已成为必然趋势。本文主要介绍了目前大数据在医疗护理领域的应用现状, 包括大数据的概述、大数据在临床护理中的应用、大数据在护理研究中的应用等, 广大的医务人员应强化大数据发展意识, 以此工作为发展契机, 共同努力积极推动临床护理相关学科健康发展。)

The year 2022 is Nursing Science Quarterly 's 35th year in publication, and we are dialoging with nurse theorists. We hope to uncover influences and origins of their theoretical thinking and hear about their current projects related to nursing science. In this scholarly dialogue column, we dialogue with Sister Callista Roy, nurse theorist, retired professor at Mount Saint Mary's University and Professor Emeritus at Boston College Connell School of Nursing. Her contribution to nursing science began in her master's program and her Roy adaptation model (RAM) has been the foundation for countless studies across at least five continents, nursing programs, and implementation practice projects. [ABSTRACT FROM AUTHOR]

Knowledge development is one of the foundations for nursing to grow as a profession. Knowledge development in nursing has been greatly influenced by the philosophical perspective in different eras. This study aims at exploring the philosophical standpoints and methodological perspective of nursing knowledge development. Performing research guided by philosophy and using suitable methodology underpinning the philosophical approach is the need for strengthening nursing knowledge at present. [ABSTRACT FROM AUTHOR]

The esthetic pattern of knowing is critical for nursing practice, yet remains weakly defined and understood. This gap has arguably relegated esthetic knowing to an "ineffable" creativity that resists transparency and understanding, which is a barrier to articulating its value for nursing and its importance in producing beneficial health outcomes. Current philosophy of science developments are synthesized to argue that esthetic knowing is an appropriate "object" of scientific inquiry. Examples of empirical scholarship that can be conceived as scientific inquiry into manifestations of esthetic knowing are highlighted. A program of research is outlined to advance a science of esthetic knowing.

Introduction: Sensitive mother-infant interactions are important predictors of long-term mother-infant relationship, which is one factor having a positive impact on infant development. Considering preterm infants’ immaturity, mother-infant interactions and maternal sensitivity may not develop optimally. A systematic review showed that current evidence on the effectiveness of parent-infant interventions promoting parental sensitivity in the neonatal intensive care unit (NICU) is of low to very low quality. Objective: The objective of this paper is to report the development process of a novel nursing intervention, using a theory and evidence-based approach, to enhance maternal sensitivity and preterm infant neurodevelopment in the NICU. Methods: The Medical Research Council’s guidance to develop and evaluate complex health interventions, that is an evidence and theory-based approach, was used for this study. Thus, based on the MRC framework, three main steps were conducted: 1- Identifying existing empirical evidence; 2- Identifying and developing theory; 3- Modeling processes and outcomes. Results: We developed a guided participation intervention for mothers to participate in their preterm infant’s care and positioning (‘GP_Posit’). ‘GP_Posit’ is based upon the Attachment theory, the Guided Participation theory as well as the Synactive theory of development. Conclusion: This novel intervention is being tested in a pilot randomized controlled trial (NCT03677752).

Biosocial approaches in nursing research have largely focused on the ways that social determinants of health influence individual-level outcomes, including symptom management, family and social support, and educational interventions. Theoretical, methodological, and practical strategies are needed to expand current biosocial methods for nursing science and focus on upstream, structural determinants of health and the policies that underlie health inequities. This paper summarizes presentations given at the 2023 Council for the Advancement of Nursing Science Advanced Methods Conference, Biosocial Methods to Advance Health Equity , in a panel titled "Individual, community, systems and policy related to biosocial methods." Nurses are uniquely positioned to examine upstream, structural determinants of health by leveraging expertise in biosocial methods, collaborating with interdisciplinary researchers and community members, and advocating for policy change. By conducting theory-grounded biosocial research, nurse researchers can significantly advance scientific knowledge and promote health equity for individuals and communities. Nurse scientists are conducting research using biosocial methods and provide recommendations for expansion of this approach in the field. • Nursing research examines structural determinants of health using biosocial methods. • Biosocial methods can also be used to inform advocacy for policy change. • Nurse scientists can use these methods to promote health equity on multiple levels. [ABSTRACT FROM AUTHOR]

The year 2022 is Nursing Science Quarterly 's 35th year in publication, and we are dialoging with nurse theorists. We hope to uncover influences and origins of their theoretical thinking and hear about their current projects related to nursing science. In this scholarly dialogue column, we dialogue with Dr. Marlaine C. Smith, nurse theorist, Professor Emeritus, Christine E. Lynn College of Nursing, Florida Atlantic University, and president of the Society of Rogerian Scholars. Her contribution to nursing science began with her own inquisitiveness, the influence of nursing faculty and mentors, and an academic career based steeped in leadership and nursing theory. Her middle-range theory of unitary caring synthesizes her work in the science of unitary human beings and caring science. [ABSTRACT FROM AUTHOR]

The purpose of this article is to inform newly enrolled PhD students of program expectations, strategies for success, and next steps in the career of a nurse scientist. We used empirical evidence and insights from the authors to describe strategies for success during a nursing PhD program and continued career development following graduation. Measures of success included maintaining health, focus, integrity, and a supportive network, identifying mentors, pursuing new knowledge and advancing research to transform health outcomes. Nursing PhD programs help to shape future researchers and leaders. Choosing to obtain a PhD in nursing is an investment in oneself, the discipline, and the science. Nursing PhD programs offer opportunities to advance science, impact healthcare and health outcomes, and prepare for a variety of career opportunities. Informing newly enrolled PhD students may better prepare them for what lies ahead and facilitate student retention. • Clear program expectations prior to enrollment prepare PhD students for success. • Networking can identify mentors and advance the development peer relationships. • Establishing career goals at the outset will guide plans for learning. [ABSTRACT FROM AUTHOR]

• The role of the nurse scientist in clinical settings has evolved over recent decades. • The definition, operationalization, and measures of success in these roles vary widely. • Understanding gaps in role expectations and measures of success can refine the role. • Improved infrastructural support for nurse scientist roles can advance nursing science. • The future of nursing and health policy may benefit from nurse scientists in practice settings. The nurse scientist in the clinical setting is a role that has evolved over recent decades to encompass the concomitant development of personal research programs and the facilitation of staff and advanced practice nurse research in health care settings. However, the definition, operationalization, and measures of success are extremely variable. To identify the defining features and characteristics of the nurse scientist role in clinical practice settings as represented in the existing literature. We conducted a scoping review using PubMed and CINAHL databases. We initially identified a total of 3345 references from 1976 to June 2020, 217 of which were published from 2005-2020. We used the Joanna Briggs Institute (JBI) framework to explore the state of the science of the role of nurse scientists in practice settings. Approximately 100 articles met the criteria for full-text analysis, and the final review consisted of 20 descriptive analytic studies addressing the nurse scientist role definition, operationalization, and outcome measures. Findings suggest that nurse scientist roles serve to promote health system success through a host of research-focused activities that conceivably contribute to improved patient care outcomes. Work is needed to support the cost of requisite resources and infrastructure and to increase acceptance of the role as part of a tenure-earning track in academic settings that also stand to benefit. [ABSTRACT FROM AUTHOR]